Madan Ashok Hukumchand, Joshi Rajesh Subhash, Wadekar Preeti Dasharath
Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra 440012, India.
Clin Ophthalmol. 2020 Apr 1;14:1003-1009. doi: 10.2147/OPTH.S244679. eCollection 2020.
To study the demographic profile and visual outcome in pediatric ocular trauma.
Prospective and interventional study.
Tertiary eye care center in central Maharashtra.
The study included all children of age group 15 years and younger sustaining eye injuries and presented to the outpatient department or emergency services. The duration of the study was 1 year. A detailed medical history was obtained. Demographic profile was noted. A detailed ocular examination included visual acuity, slit-lamp biomicroscopy, and fundus examination. All patients were followed up to 6 months.
Out of 350 children examined, 66 (18.9%) had ocular trauma. The mean age at presentation was 8.33 ± 4.03 years. Children aged 6-10 years (39.3%) were most commonly affected followed by children from 11 to 15 years (36.1%). There were no significant differences between rural (54.1%) and urban (45.9%) children. Most (63.9%) had open and 24.6% had closed globe injuries. Perforating injuries to the cornea (n=29, 47.5%) was the most common injury. Sports-related injuries were common (n= 18) followed by wooden stick- (n = 14) and firecracker-related (n = 11) injuries. In the open and closed globe injuries, 36 (92.3%) and 5 (33.3%) patients, respectively, required immediate surgical intervention.
Sports-related activities were a common cause of ocular trauma in the pediatric age group in the central region of Maharashtra. We propose setting of rapid action ocular trauma team to prevent blindness occurring due to trauma.
研究儿童眼外伤的人口统计学特征及视力预后。
前瞻性干预性研究。
马哈拉施特拉邦中部的三级眼科护理中心。
本研究纳入所有15岁及以下眼部受伤并到门诊或急诊就诊的儿童。研究持续时间为1年。获取详细的病史。记录人口统计学特征。详细的眼部检查包括视力、裂隙灯生物显微镜检查和眼底检查。所有患者随访6个月。
在350名接受检查的儿童中，66名（18.9%）有眼外伤。就诊时的平均年龄为8.33±4.03岁。6至10岁的儿童（39.3%）受影响最为常见，其次是11至15岁的儿童（36.1%）。农村儿童（54.1%）和城市儿童（45.9%）之间无显著差异。大多数（63.9%）为开放性眼球损伤，24.6%为闭合性眼球损伤。角膜穿孔伤（n = 29，47.5%）是最常见的损伤。与运动相关的损伤常见（n = 18），其次是木棍伤（n = 14）和鞭炮伤（n = 11）。在开放性和闭合性眼球损伤中，分别有36名（92.3%）和5名（33.3%）患者需要立即进行手术干预。
在马哈拉施特拉邦中部地区，与运动相关的活动是儿童眼外伤的常见原因。我们建议设立快速行动眼外伤团队以预防因外伤导致的失明。
